2015. Guillemin I et al. – How do Clostridium difficile infections affect nurses’ everyday hospital work: A qualitative study


Guillemin I, Marrel A, Beriot-Mathiot A, Doucet C, Kazoglou O, Luxemburger C, Reygrobellet C, Arnould B. How do clostridium difficile infections affect nurses’ everyday hospital work: A qualitative study. Int J Nurs Pract. 2015;21(Suppl 2):38-45.


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This qualitative study explored the impact of Clostridium difficile infections on nurses’ everyday work in the hospital. Twelve nurses (six in France and six in the United States) were interviewed in depth using a semi-structured interview guide. Thematic analysis of the interviews was performed. Managing diarrhoea and taking precautionary measures for infection control were the two most inconvenient aspects nurses reported with C. difficile patient management. Precautions included contact isolation, hand hygiene and reorganization/coordination of nursing care and ward. Precautions were time consuming and significantly increased nurses’ workload when combined with caring for patients with uncontrollable, frequent bouts of diarrhoea. Management of C. difficile infection is extremely burdensome for nurses in their everyday work and disruptive to hospital organizations as a whole. Prevention of C. difficile infections, together with coordinated team work and communication, would therefore contribute to decreasing nurses’ workload and the burden to health-care facilities associated with caring for these patients.